Partnering with parents to improve outcomes for substance exposed newborns-a pilot program

Author Department

Ob/Gyn; Medicine

Document Type

Article, Peer-reviewed

Publication Date

3-2020

Abstract

OBJECTIVE:

Assess impact of parental involvement in care provision for term substance exposed newborns (SENs).

STUDY DESIGN:

Prospective observational cohort study included mothers with opioid use disorder and their SENs over 4 year study period. Maternal-Infant dyads enrolled in EMPOWER and rooming-in (RI) programs were included and received care 24/7 in a private room until newborn's discharge. Outcomes were compared for dyads participating in EMPOWER/RI with historical controls.

RESULTS:

Ninety of 156 historical SENs were RI eligible, while 49 of 108 SENs born during RI period had mothers enrolled in EMPOWER. EMPOWER/RI SENs had lower rates for and duration of pharmacotherapy, shorter neonatal intensive care unit (NICU) and hospital lengths of stay. EMPOWER/RI increased initiation and continuation of breastfeeding at discharge.

CONCLUSIONS:

Parental participation was associated with a decrease in initiation and duration of pharmacotherapy, NICU admission, length of stay and hospital charges while increasing breastfeeding initiation and continuation at discharge.

PMID

32203160

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